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Undergraduate/Graduate Category: Physical and Life Sciences Degree Level: Candidate for Bachelor’s Degree Abstract ID# 1069 Pre-clinical Pilot Study of a Light Activated Doxorubicin Derivative Sarah Sherman1, Alana Ross2, Chongzhao Ran2, Byunghee Yoo2, Pamela Pantazopoulos2, Ping Wang2, Benjamin L. Barthel3, Tad H. Koch3, Anna Moore2 1 Dept. of Biology, Northeastern University; 2 Molecular Imaging Laboratory, Department of Radiology, Massachusetts General Hospital/Harvard Medical School; 3Department of Chemistry and Biochemistry, University of Colorado Preliminary assessment of drug toxicity Abstract 2 weeks 40 minutes Mouse Weight Therapy starts with ip injection of 18F-FDG. (350-500 μCi) Female nude mice injected with MDA MB 231 luc cells (n=13) Caged Dox given by iv injection. Therapy and imaging continues weekly. Results Experimental Groups Treatment: FDG + Caged Dox Control 1: FDG + Vehicle Control 2: Doxorubicin n 5 Drug Dose (mg/mouse) 0.1 4 4 0.1 0.1 24 23 20 Figure 1: Cherenkov luminescence (left) and PET (right) images of a mouse from a treatment group on the first day of treatment. These images depict tumor uptake of 18F-FDG, which produces the Cherenkov radiation that activates caged Dox. The Cherenkov luminescence imaging allows for direct confirmation of the presence of this radiation. Tracking Tumor Size 11/13/15 Treatment 10/23/2015 Vehicle control Dox control Experimental Design 25 21 Demonstrating Tumor Uptake of 18F-FDG Approach Challenge: Light can’t travel far through tissues Solution: Use 18F-FDG, which produces Cherenkov radiation, as a light source that can be localized to the tumor 26 0 10/5/2015 Solving the Depth Problem-Cherenkov Radiation 27 22 Introduction Doxorubicin (Dox) is an FDA approved chemotherapeutic used to treat a variety of cancers. However, its potential to damage the heart and other vital organs limits the amount patients can receive. This study examines the performance of a potent, caged derivative of doxorubicin which is inactive until exposed to light. This mechanism of selective activation will result in more efficient treatment and reduced systemic toxicity. 28 Weight (g) This study examines the effects of a caged, potent derivative of doxorubicin that is activated by light in a preclinical model of orthotopic breast cancer. This mechanism of activation allows caged Dox to be selectively released at the site of the tumor, resulting in decreased systemic toxicity and greater treatment efficiency. Mice were injected with MDA MB 231 luc cells and sorted into treatment, vehicle control, and doxorubicin only control groups. Treatment and bioluminescence imaging to monitor tumor size were carried out weekly. Weights were collected twice a week. There was no significant change in tumor radiance in the treatment group (t =.416). However, mice in the doxorubicin control group lost a significant amount of weight, (t=.042) while the treatment group did not (t=.377). This indicates that caged Dox is potentially less toxic than doxorubicin. Further studies are necessary to address problems with the drug’s efficacy, which may be due to poor pharmacokinetics or a need to optimize dose timings in the treatment protocol. 10 Treatment 20 30 40 50 Days Post Initial TreatmentDox Control Vehicle Control Figure 3: Average weights of the treatment and two control groups over time. The doxorubicin group experienced a significant weight loss over the course of the experiment. (p<.0001) No significant weight loss occurred in the treatment group. (p=0.0992). No significant change in weight occurred in the control group up until the last time point all mice were alive. (p=0.8996) The stability of the treatment group’s weight indicates the possibility that caged Dox may be less toxic than doxorubicin. Conclusions • Preliminary results show caged Dox may be less toxic than doxorubicin. Verification with H&E staining of tissues is needed. • Issues with pharmacokinetics, radiation dosing, or timing of treatment may be interfering with drug efficacy. Further studies could look at optimization of dosing and the time gap between administration of 18F-FDG and caged Dox. • A second generation of this drug is under development, with a focus on improving solubility and tumor targeting. Bibliography X.1 Figure 2: Bioluminescence images of mice with orthotopic breast tumors, n=3. The image parameters for min. and max. radiance are standardized within a group. The x.1 indicates that the parameters for this image have been lowered by a factor of ten. There was no significant change in the treatment group’s average signal throughout the experiment. (p= 0.6316) [1] Ran C, Zhang Z, Hooker J, Moore A. In Vivo Photoactiviation Without “Light”: Use of Cherenkov Radiation to Overcome the Penetration Limit of Light. Mol. Imaging and Biology 2012; 14: 156-162. [2] Zhang X, Kuo C, Moore A, Ran C. In Vivo Optical Imaging of Interscapular Brown Adipose Tissue with 18FFDG via Cherenkov Luminescence Imaging. Plos One 2013; 8: e62007 [3] Barthel B, et al. Preclinical Efficacy of a Carboxylesterase 2-Activated Prodrug of Doxazolidine. Journal of Medicinal Chemistry 2009; 52: 7678-7688 [4] Gibbs, Philip. 1997. Is there an equivalent of the sonic boom for light? [Internet]. [1998, cited 2015 Dec 13] . Available from: http://math.ucr.edu/home/baez/physics/Relativity/SpeedOfLight/cherenkov.html [5] Cherenkov effect in the Reed Research Reactor. United States Nuclear Regulatory Comission [Internet] [cited Dec 13 2015]. Available from http://www.nrc.gov/images/reading-rm/photo-gallery/20071115067.jpg.